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ACCOUNT #
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ADDRESS
~ PINE RD NE, 14543
OLD METER BUSH, STEPHEN
NEW METER
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Ser. Nv;107411...
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Ser. No.7 74- ~4-/~
Digits
Reg.No.
Size S-/e /Obct(
(P)7pO~./
July Read: 611510 r'') r /'1 ~
MIU Ser. No. J ff-) '?5 /""7
.
Reading
MIU Phone#
Bldg. Type:
Port 1
2
.....-\
RPZ Installed Yes
No RPZ Ser. No.
Service Size
''t Type
lead_ Copper..J( Iron Pipe_
Ground Yes _ No X
Comments:
Please keep this receipt for your records. The final reading from your old water meter
will be used in determining your next regular bill.
If you have any questions or problems, please contact the Water Department during
normal working hours. Thank you for your cooperation.
INSTALLATION ACCEPTABLE. WATER METER SEAL WIRE 'IN PLACE.
OCCUPANTS SIGNATURE ~./~.'. .
DATE d- " 2 , ,. trl P~~NE c; 9 t:( 'i L..j /
From 90080 (4-93) /Copy 1 Customer Copy 2 WS Copy 3 & 4 WD
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